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Doctor insights on: Thyroid Parenchymal Disease

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Dr. Scott Keith
13 Doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more


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What is the common term for thyroid parenchymal disease?

What is the common term for thyroid parenchymal disease?

Thyroiditis: If you have thyroid parenchymal disease, ask your doctor to measure t4, tsh, and antithyroid antibodies. ...Read more

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Hello, my girlfriend diagnosed with enlarged thyroid gland with heterogeneous echo pattern consider thyroid parenchymal disease, what does that mean?

Hello, my girlfriend diagnosed with enlarged thyroid gland with heterogeneous echo pattern consider thyroid parenchymal disease, what does that mean?

Thyroid big: 24 M from Philippines states girlfriend has enlarged thyroid with echo showing scatter suggestive of thyroid disease. This means she has an enlarged thyroid. But the cause cannot be determined. She needs to see a thyroid specialist/endocrinologist to figure out what is going on. They will know what is the most likely prob in your part of the world and how to best evaluate and treat her if needed. ...Read more

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Hi doc, I have TSH 2.660 and FT4 is 14.2. is it okay? My ultrasound also says that I have thyroid parenchymal disease. Does it mean I have goiter?

Hi doc, I have TSH 2.660 and FT4 is 14.2. is it okay? My ultrasound also says that I have thyroid parenchymal disease. Does it mean I have goiter?

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your lab results are normal. Goiter means an enlarged thyroid and it does not need a lab test or imaging study.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex.
Get HPV vaccine ...Read more

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What is parenchymal disease for thyroid?

What is parenchymal disease for thyroid?

Thyroid: Parenchyma means "the functional tissue of an organ as distinguished from the connective and supporting tissue."
so when you say you have "parenchymal disease of the thyroid" it does NOT mean much.
There are several different types of thyroid diseases, to name some: Graves disease, thyroiditis, thyroid nodule, etc. Have your doctor give you more details or see an endocrinologist ...Read more

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What is enalarged thyroid with diffuse parenchymal desease?

What is enalarged thyroid with diffuse parenchymal desease?

Several possibilitie: Multiple disorders can cause such a picture on ultrasound:
acute suppurative thyroiditis
subacute granulomatous thyroiditis
hashimoto's thyroiditis (chronic lymphocytic thyroiditis)
adenomatous or colloid goiter
painless (silent) thyroiditis
generally, it's not necessary to biopsy to distinguish the etiology, and treatment is most often available. Check w/your doctor. ...Read more

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What does Thyroid parenchymal echogenicity is fairly homogeneous mean?

Homogeneous: Homogeneous echogenicity of thyroid parenchyma on ultrasound means a normal thyroid gland without nodules. ...Read more

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What does multiple hypoechoic focus nodules mean on my thyroid? What is parenchymal inhomogeneity?

What does multiple hypoechoic focus nodules mean on my thyroid? What is parenchymal inhomogeneity?

Varying appearance: Inhomogeneous means areas of different echogenicity or density rather than homogeneous where entire gland has same density. Hypoechoic means areas with decreased density or less echoes which often are cystic. As long as any nodular areas are not larger than 1 cm in diameter they usually do not require biopsy. ...Read more

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I had cure autoimune disease I am of 17years can my thyroidism and brain fog due to med can cure. How long I need to take med further?

I had cure autoimune disease I am of 17years can my thyroidism and brain fog due to med can cure. How long I need to take med further?

Thyroiditis?: If you are referring to autoimmune thyroiditis (hashimoto's disease)- this at first can cause an overactive thyroid (hyperthyroidism) followed by decreased thyoid function (hypothyroidism). You need to have your thyroid hormone levels balance to achieve balance. The medication may be need for a lifetime or the disease can resolve. ...Read more

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My ultrasound on thyroid says thyromegaly with diffuse non-specific parenchymal changes & bilateral nodules. What's the best thing to do?

More information: How big are the nodules. If they are very small, < 1 cm, you should get lab checks to rule out hashimotos thyroid disease and get a yearly ultrasound to make sure the nodules are not growing. ...Read more

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Norm. Tsh, pth 103, tpo ab 839, calcium 383, abnormal thyroid/para-heterogeneous parenchymal echotexture-thyroid, no nodule, ill defined hypoecoic lesion posterior to rt thyroid lobe, ill def para nodule?

Norm. Tsh, pth 103, tpo ab 839, calcium 383, abnormal thyroid/para-heterogeneous parenchymal echotexture-thyroid, no nodule, ill defined hypoecoic lesion posterior to rt thyroid lobe, ill def para nodule?

Clarify: Hi. Your PTH is high and MEN-1 in the family. That calcium makes no sense unless it's a 24-hour urine calcium, in which case it's high. What's your serum calcium?
Your thyroid autoantibodies are high, and your thyroid function is normal. MEN-1 is not assoc. With autoimmune thyroid disease, so that looks like maybe an unrelated finding. Most MEN-1 patients get primary hyperparathyroidism before 57 ...Read more

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Can you tell me the meaning of parenchymal echogenicity is coarse heterogenous. My dad has a lump on his neck and this was the lab result.

Can you tell me the meaning of parenchymal echogenicity is coarse heterogenous. My dad has a lump on his neck and this was the lab result.

Need symptoms & hx: You have a complicated question on behalf of your dad & gave only bits of information. It's not reasonable or prudent to offer a diagnosis in this situation. I'm assuming it's an ultrasound of the lump. Heterogeneous implies cells mixed with fluid in the lump. Coarse echogenicity refers to how "grainy" the lump appears. We need medical history & symptoms to diagnose. Use HealthTap Prime to discuss ...Read more

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Recent CT report states:scattered reactive lymph nodes within the neck. Biapical pleural parenchymal fibrosis at the lung apices is noted. Please expl?

Recent CT report states:scattered reactive lymph nodes within the neck. Biapical pleural parenchymal fibrosis at the lung apices is noted. Please expl?

Nothing worrisome: Reactive lymph nodes are lymph nodes that are prominent but not worrisome, presumably secondary to a recent infection. Fibrosis is scarring. On it's own, not a terrible thing. Slightly unusual for a 37 yr old though. May be from an old infection. However, if you smoke, this would be secondary to damage. ...Read more